PSCG Optics Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PSCG OPTICS INC

Practice address

388 Hawkins Ave
Suite 2
Lake Ronkonkoma, NY 11779-4280

Phone

(631) 588-7004

Fax

(631) 588-2612

NPI assigned

Mar 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christopher Gentile, O.D.NPI 1235118134

Title

Optometrist

Phone

(631) 588-7004

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sachem Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Gentile, O.D.

  • Optometrist
  • Bellmore, NY
  • NPI 1235118134
  Medicare reassignment Care Compare group NPD Authorized official
• Laura Ann Buccellato, OD

  • Optometrist
  • Ronkonkoma, NY
  • NPI 1932182938
  Medicare reassignment Care Compare group NPD
• Vanessa Rose Eger, OD

  • Optometrist
  • East Patchogue, NY
  • NPI 1366280521
  Medicare reassignment Care Compare group NPD
• Valerie Giangrande, O.D.

  • Optometrist
  • Freeport, NY
  • NPI 1033109525
  Medicare reassignment Care Compare group NPD
• Sherri E Goldstein, O.D.

  • Optometrist
  • Holbrook, NY
  • NPI 1942369970
  Medicare reassignment Care Compare group NPD
• Tracy K Brooks, O.D.

  • Optometrist
  • Lake Ronkonkoma, NY
  • NPI 1609995844
  Medicare reassignment NPD
• Michele Espinosa

  • Optometrist
  • Lake Ronkonkoma, NY
  • NPI 1770964926
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1780717199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 HAWKINS AVE",
            "address_2": "SUITE 2",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794280",
            "telephone_number": "631-588-7004",
            "fax_number": "631-588-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 HAWKINS AVE",
            "address_2": "SUITE 2",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794280",
            "telephone_number": "631-588-7004",
            "fax_number": "631-588-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSCG OPTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "631-588-7004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03912503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sachem Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saturne Phillip
• Marie T Pottanat, MD
• Olivia Poulin
• Austin D Prince
• Maygan Procino
• Qlimg Ronkonkoma Med Office
• Nicholas Quod
• Mohiba Rafiqi
• Rakesh Sharma Physician PC
• Kate Elisabeth Reddin, M.S. SLP

• Optometrist in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.